31D2217696 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853

Laboratory Demographics

CLIA Number: 31D2217696

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853

Facility Address:
9301 VENTNOR AVENUE
MARGATE CITY, NJ
ZIP 08402
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881777944

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2217696
LAB Type	Pharmacy
Facility Name	NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853
Street	9301 VENTNOR AVENUE
City	MARGATE CITY
State	NJ
ZIP	08402
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024